Kidney-pancreas transplants
provide "no improvement in overall quality of life"
for diabetic patients compared to kidney transplants alone, according
to Pennsylvania researchers.
Dr. Kalathil K. Sureshkumar of Allegheny General Hospital in
Pittsburgh reported in the American Journal of Kidney Diseases
on a study which matched 27 simultaneous kidney-pancreas transplant
recipients with 27 type 1 diabetics who only received a kidney
transplant.
"Satisfaction with diabetes-related quality of life was
significantly better in simultaneous pancreas-kidney recipients,"
the researchers reported.
They said only five of the kidney-pancreas recipients developed
coronary artery disease compared to 13 of those who received only
a kidney, and only five of the kidney-pancreas recipients developed
peripheral vascular disease compared to 9 of those getting a kidney
alone.
But they reported that in the first three months after transplantation,
kidney-pancreas recipients had a significantly higher number of
hospital admissions, spent more time in the hospital and more
time in intensive care than kidney recipients alone.
"Although simultaneous pancreas kidney transplantation
enhanced diabetes-related quality of life, there was no improvement
in overall quality of life," the researchers concluded.